Get Ct Dph Ems Certification - Verification Of Ceus Form 2020-2025

The CT DPH EMS Certification - Verification Of CEUs Form is essential for individuals seeking to validate their continuing education units. This guide provides clear and professional instructions to assist users in completing the form online.

Follow the steps to effectively fill out the CT DPH EMS Certification - Verification Of CEUs Form online.

1. Use the ‘Get Form’ button to obtain the form and open it in your preferred online document editor.
2. Begin by entering your personal information in the ‘Applicant Information’ section, including your date, name, email address, phone number, and EMS Certification number.
3. Provide your signature in the designated space to confirm the information is accurate and complete.
4. Proceed to the ‘Instructor Information’ section where you will fill out the instructor's name and state.
5. Complete the 'National Hours' section by filling in the specific hours for each category: Airway, Respiration and Ventilation; Cardiovascular; Trauma; Medical; Operations. Ensure to enter totals that meet the minimum requirements for your certification level.
6. Calculate the ‘Total Hours’ by summing the hours for each category to ensure they meet the certification requirements.
7. Once all fields are completed, save the form to your desktop or preferred storage.
8. Finally, upload the saved form with your online renewal via the appropriate online portal.

Complete your forms online today to ensure your continued EMS certification!